Abstract
PURPOSE: We sought to investigate whether preadmission quality of life could act as a predictor of mortality among patients admitted to the intensive care unit (ICU).
MATERIALS AND METHODS: This is a prospective observational study of all patients above the age of 18 years admitted to the ICU with a length of stay longer than 24 hours. Short form 36 (SF-36) and Acute Physiology and Chronic Health Evaluation II (APACHE II) were used. Mortality was assessed during ICU admission, 30, and 90 days hereafter.
RESULTS: We included 318 patients. No patients were lost to follow-up. Using the physical component summary of short form 12 (SF-12) as a predictor of ICU mortality, the area under the curve (0.70; confidence interval, 0.62-0.77) was comparable with that of APACHE II (0.74; confidence interval, 0.67-0.82). The difference between SF-12 and SF-36 was nonsignificant.
CONCLUSIONS: Preadmission quality of life, assessed by SF-36 and SF-12, is as good at predicting ICU, 30-, and 90-day mortality as APACHE II in patients admitted to the ICU for longer than 24 hours. This indicates that estimated preadmission quality of life, potentially available in the pre-ICU setting, could aid decision making regarding ICU admission and deserves more attention by those caring for critically ill patients.
| Original language | English |
|---|---|
| Journal | Journal of Critical Care |
| Volume | 29 |
| Issue number | 6 |
| Pages (from-to) | 942-947 |
| Number of pages | 6 |
| ISSN | 0883-9441 |
| DOIs | |
| Publication status | Published - 1 Dec 2014 |
Keywords
- APACHE
- Aged
- Aged, 80 and over
- Alcohol Drinking
- Area Under Curve
- Cohort Studies
- Confidence Intervals
- Critical Illness
- Decision Making
- Female
- Health Status
- Hospital Mortality
- Humans
- Intensive Care
- Intensive Care Units
- Length of Stay
- Male
- Middle Aged
- Patient Admission
- Prospective Studies
- Quality of Life
- Questionnaires
- Survivors
- Young Adult